Provider Demographics
NPI:1881045474
Name:SANCHEZ, DENISE (LOT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:LOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4941 PERTHSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-1241
Mailing Address - Country:US
Mailing Address - Phone:225-228-2668
Mailing Address - Fax:
Practice Address - Street 1:4941 PERTHSHIRE DR
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-1241
Practice Address - Country:US
Practice Address - Phone:225-228-2668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-25
Last Update Date:2016-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAZ11568225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist